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A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.
When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.
Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.
Summary: This allows allows the California Department of Health Care Services (DHCS) to sunset the current one percent payment reduction applicable to Home Health Agency (HHA) services and to increase reimbursement rates by 50 percent for state plan HHA services and certain Pediatric Day Health Center (PDHC) services.
Summary: This allows the California Department of Health Care Services (DHCS) to extend the supplemental payment program for certain physician services for an additional 12 months from July 1, 2018 through June 30, 2019.
Summary: This allows the California Department of Health Care Services (DHCS) to implement time-limited supplemental payments under the Family Planning, Access, Care & Treatment (PACT) program for evaluation and management office visits rendered for comprehensive family planning services.
Summary: Regarding adding nonmedical transportation (NMT) services for all eligible beneficiaries to travel to and from covered Medi-Cal services and updates the nonemergency medical transportation description.
Summary: Provides a one-year extension to the supplemental payment for intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs).
